The Efficacy and Safety of Retrograde Intrarenal Surgery in Elderly Patients: A Propensity Score Matching Study by the RIRSearch Group

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dc.authoridAKGUL, MURAT/0000-0001-6187-1940
dc.authoridSAHIN, MEHMET FATIH/0000-0002-0926-3005
dc.contributor.authorAkgul, Murat
dc.contributor.authorOzcan, Ridvan
dc.contributor.authorYazici, Cenk
dc.contributor.authorBasatac, Cem
dc.contributor.authorOzman, Oktay
dc.contributor.authorSiddikoglu, Duygu
dc.contributor.authorCinar, Onder
dc.date.accessioned2025-01-27T20:50:07Z
dc.date.available2025-01-27T20:50:07Z
dc.date.issued2024
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractIntroduction: The aim of the study was to evaluate the efficacy and safety of retrograde intrarenal surgery (RIRS) in elderly patients by comparing them with propensity score-matched age-groups. Methods: Patients who underwent RIRS to treat upper urinary tract stone disease at seven centers were included in the study and were divided into four groups. The age intervals of the patients in group 1, group 2, group 3, and group 4 were 18-29 years old, 30-49 years old, 50-64 years old, and over 65 years old, respectively. Propensity score matching analysis was used to homogenize the groups in terms of demographic and clinical properties. Operative results, preoperative complications, perioperative complications, postoperative complications, duration of hospitalization time, and stone-free status were compared between groups. Results: A total of 1,017 patients were included in the study. There were 69 (9.9%) patients in group 1, 324 (46.5%) in group 2, 217 (31.1%) in group 3, and 87 (12.5%) in group 4 after propensity score matching. The operation time and postoperative complication rates were significantly different among groups, whereas the hospitalization time, perioperative complication rates, and stone-free status were similar. The operation time was significantly higher in patients over 65 years old (p = 0.001). The postoperative complication rates were significantly higher in group 1 with Clavien I-II complication predominance (p = 0.003). Conclusion: The efficacy and safety of RIRS did not change with aging, and RIRS was an effective option for the treatment of upper urinary system stones in elderly patients.
dc.identifier.doi10.1159/000540073
dc.identifier.endpage524
dc.identifier.issn0042-1138
dc.identifier.issn1423-0399
dc.identifier.issue6
dc.identifier.pmid39008973
dc.identifier.scopus2-s2.0-85211601823
dc.identifier.scopusqualityQ2
dc.identifier.startpage517
dc.identifier.urihttps://doi.org/10.1159/000540073
dc.identifier.urihttps://hdl.handle.net/20.500.12428/25413
dc.identifier.volume108
dc.identifier.wosWOS:001371971800008
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKarger
dc.relation.ispartofUrologia Internationalis
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectRetrograde intrarenal surgery
dc.subjectUpper urinary tract stones
dc.subjectElderly patients
dc.subjectPropensity score matching
dc.subjectComplication
dc.titleThe Efficacy and Safety of Retrograde Intrarenal Surgery in Elderly Patients: A Propensity Score Matching Study by the RIRSearch Group
dc.typeArticle

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